Individual
MARK THOMAS SHANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 EAST 68TH STREET, NEW YORK, NY 10021
(212) 746-5026
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289233-1
NY
Other
Enumeration date
05/01/2013
Last updated
06/01/2017
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